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New England Journal of Medicine: 'Brain Death' is not Death - Organ Donors are Alive
LifeSiteNews ^ | 8/14/08 | John-Henry Westen

Posted on 08/15/2008 5:32:34 AM PDT by wagglebee

BOSTON, August 14, 2008 (LifeSiteNews.com) - In an article that is sure to rock the world of organ donation, the highly respected New England Journal of Medicine (NEJM) has backed up the objections of various pro-life groups, as well as some scientists and physicians, to certain types of organ donation which involve the removal of vital organs from patients believed to be dead. The problem, say the authors of the NEJM article, is that in many cases these patients may not be dead at all. 

Key experts in the medical field have, since its inception, considered the 1968 invention of 'brain death' and the more recent criteria of 'cardiac death' as unsupportable criteria for true death.  If it is true, however, that brain death and cardiac death are invalid as criteria for true death, it would make morally illicit vital organ donation, since such donation would in some cases result directly in the killing of the donor for the purpose of harvesting his organs. 

The two authors of the article in the NEJM, both proponents of organ donation, argue that "as an ethical requirement for organ donation, the dead donor rule has required unnecessary and unsupportable revisions of the definition of death."

The article was co-authored by Dr. Robert D. Truog, a professor of medical ethics and anesthesia (pediatrics) in the Departments of Anesthesia and Social Medicine at Harvard Medical School and the Division of Critical Care Medicine at Children's Hospital Boston and Dr. Franklin G. Miller, a faculty member in the Department of Bioethics, National Institutes of Health, Bethesda, MD.

The many cases hitting the media of patients pronounced 'brain dead' and living to tell their stories have already led the public to question the notion of 'brain death'.  A recent case in France where a patient revived on the operating table as surgeons were about to remove his organs, is only the latest in a string of such events.  (see: http://www.lifesitenews.com/ldn/2008/jun/08061308.html )

Troug and Miller, after admitting that the scientific literature does not support the criteria for 'brain death' and 'cardiac death' as being real death, suggest instead that ethicists should simply remove the requirement for dead donors.  "The uncomfortable conclusion to be drawn from this literature is that although it may be perfectly ethical to remove vital organs for transplantation from patients who satisfy the diagnostic criteria of brain death, the reason it is ethical cannot be that we are convinced they are really dead," they write.

Similarly they note that with 'cardiac death', "although it may be ethical to remove vital organs from these patients, we believe that the reason it is ethical cannot convincingly be that the donors are dead."  Troug and Miller suggest that, rather than insisting on dead donors, "ethical requirements of organ donation" should be looked at "in terms of valid informed consent under the limited conditions of devastating neurologic injury."

However, the dead donor criteria is precisely the thing that most moral ethicists agree makes it ethical to remove vital organs for transplant. Doing otherwise would constitute actively killing a person via removal of their vital organs. 

In his August 29, 2000 address to the 18th International Congress of the Transplantation Society, Pope John Paul II stressed: "vital organs which occur singly in the body can be removed only after death, that is from the body of someone who is certainly dead."  He added: "This requirement is self-evident, since to act otherwise would mean intentionally to cause the death of the donor in disposing of his organs." (see the full address here: http://www.vatican.va/holy_father/john_paul_ii/speeches/2000... )

Now that a prominent medical journal has come out and stated that brain death and cardiac death are invalid criteria for true death, some are hoping that the Catholic Church, which has not issued a formal position on vital organ donation, will officially come out in opposition to the practice - a practice which takes place in many Catholic hospitals throughout the world.

"The setting out of these facts should by all rights lead to a cessation of complete removal of any vital organ at Catholic hospitals", said Dr. John Shea, medical consultant to LifeSiteNews.com, who has written extensively on the subject of organ donation.

See the article from the NEJM online here:
http://content.nejm.org/cgi/content/full/359/7/674?query=TOC



TOPICS: Culture/Society; News/Current Events
KEYWORDS: healthcare; moralabsolutes; organdonation; prolife
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To: wagglebee

The embryonic stem cell “researchers” “harvest” ALL the organs of human persons while their owners are most certainly alive. (And John McCain supports it.)

No moral difference between that and taking a living, healthy adult, strapping them to a table, and cutting out their organs for the “benefit” of someone else.

The only practical difference is that the adult might be able to fight back.


41 posted on 08/15/2008 8:04:43 AM PDT by EternalVigilance (Reagan: "It's morning in America." - McCain Republicans: "It's night and you'll learn to like it!")
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To: Spirochete
I remember Niven's A Gift From Earth

One of my personal favorites. That one is (I think) the only Known Space novel that references the Organ Banks. Most of the Gil the A.R.M. novellas deal with it at least tangentally, if not directly. These are collected (most recently) in Flatlander. I recall that there is an organ bank-related short story in the Known Space collection as well (the one about the guy sentenced to death for running a stop sign...the name of the story escapes me).

For the uninitiated, these stories are set in a near future where organ transplantation has become almost risk-free. Most diseases are thus easily cured, and people grow accustomed to living long, healthy lives. The unintended consequence of this is because there is always a shortage of young, healthy organs a supply must be created somehow. This is accomplished by sentencing all criminals to death.

42 posted on 08/15/2008 8:09:33 AM PDT by jboot (Let Christ be true and every man a liar.)
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To: Coleus; nickcarraway; narses; Mr. Silverback; Canticle_of_Deborah; TenthAmendmentChampion; ...
Pro-Life PING

Please FreepMail me if you want on or off my Pro-Life Ping List.

43 posted on 08/15/2008 8:09:40 AM PDT by cpforlife.org (A Catholic Respect Life Curriculum is available FREE at KnightsForLife.org)
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To: wagglebee
The mainstream media will BURY this news

Actually, it's getting quite a bit of MSM coverage, for example:

http://www.nytimes.com/2008/08/13/health/13transplants.html

44 posted on 08/15/2008 8:11:34 AM PDT by M. Dodge Thomas
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To: Ouderkirk; humblegunner
I can assure everyone that you will not want my organs in the event of my untimely demise.

I bet my liver can drink your liver under the table!

45 posted on 08/15/2008 9:00:42 AM PDT by Eaker (I'm voting for McCain because he is white.)
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To: Eaker
I bet my liver can drink your liver under the table!

My liver is so full of holes, that it doesn't hold anything anymore. LOL!!!

46 posted on 08/15/2008 9:38:13 AM PDT by Ouderkirk (I will not vote for Obama not because he is black, but because he is RED)
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To: Bobalu

>> citing statistics saying they will never recover

In short, there’s motivation to terminate the organ donor’s life despite ethics, morality, and the Constitution.


47 posted on 08/15/2008 9:55:52 AM PDT by Gene Eric
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To: Canticle_of_Deborah; vox_freedom

ping


48 posted on 08/15/2008 10:03:29 AM PDT by murphE (I refuse to choose evil, even if it is the lesser of two)
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To: wagglebee
But I WILL NOT be killed off just to get to them.

The problem is, you can't be sure of that.

49 posted on 08/15/2008 10:20:23 AM PDT by BykrBayb (We're a non Soros non lefitst supporting maverick Gang of 2, who won't be voting for McCain. ~ Þ)
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To: murphE
Question is, "When will the US Courts and our elected leadership catch up to the science?" Of course, we know and believe, that the moral foundations for the sanctity of God-given life cannot be compromised.
50 posted on 08/15/2008 11:08:20 AM PDT by vox_freedom
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To: Eaker

Mine will be of value only as curiosities.


51 posted on 08/15/2008 11:11:08 AM PDT by humblegunner (I'm voting for McCain because he's white.)
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To: wagglebee

If the criterion for death is that the heart has stopped beating, then heart transplants become impossible. The other organs become problematic, since they have to be harvested in a very short time after the heart stops beating. Kidneys have the longest time.


52 posted on 08/15/2008 11:21:13 AM PDT by firebrand
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I’m an organ donor and I have no problem with the definition of death. I’m not afraid of death, and I believe that God will protect me from death until it’s time for me to go. The man that woke up on the operating table is an example of what God will do to protect us until it’s time to depart.


53 posted on 08/15/2008 12:59:02 PM PDT by webboy45
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To: murphE

what. a. nightmare.

:-(


54 posted on 08/15/2008 3:01:50 PM PDT by Canticle_of_Deborah
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To: wagglebee
Pinged from Terri Dailies

8mm


55 posted on 08/16/2008 3:09:19 AM PDT by 8mmMauser (Jezu ufam tobie...Jesus I trust in Thee)
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To: Spirochete

I believe you’re right. They will take them without consent, and claim they belong to the govt.


56 posted on 08/16/2008 4:28:56 PM PDT by fetal heart beats by 21st day (Defending human life is not a federalist issue. It is the business of all of humanity.)
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